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A patient with SIADH asks the nurse why he has gained 10 pounds. Which response is best?

A.

"You are retaining a lot of sodium and potassium and that causes you to gain water weight"

B.

"Your kidneys are not working correctly, so they can't get rid of extra water from your system"

C.

"The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you."

D.

"You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight."

Answer and Explanation

The Correct Answer is D

A. "You are retaining a lot of sodium and potassium, and that causes you to gain water weight.": SIADH involves dilutional hyponatremia, not retention of sodium and potassium.

B. "Your kidneys are not working correctly, so they can't get rid of extra water from your system.": SIADH results from excessive secretion of antidiuretic hormone (ADH), not kidney dysfunction.

C. "The syndrome causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you.": SIADH causes water retention, not increased appetite.

D. "You have too much of a hormone in your system that causes you to retain water. The extra 10 pounds is likely water weight.": This accurately explains that excess ADH leads to water retention, causing weight gain.


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Related Questions

Correct Answer is C

Explanation

A. "I should inject my insulin detemir 30 min before a meal to lower my blood sugar.": Insulin detemir is a long-acting insulin that provides basal glucose control and is not meal-dependent.

B. "If my blood sugar is high, I can mix a dose of regular insulin with my insulin detemir.": Insulin detemir should not be mixed with any other insulin in the same syringe.

C. "I can inject my insulin detemir in the evening before bedtime.": Insulin detemir is commonly administered once daily, and evening administration helps maintain stable glucose levels overnight.

D. "I don't have to worry about hypoglycemia while taking insulin detemir.": While the risk of hypoglycemia is lower with detemir than with some other insulins, it is still possible, particularly if meals are missed or doses are mismanaged.

Correct Answer is B

Explanation

A. Limit potassium-rich foods in the diet: Clients with Cushing's disease often have hypokalemia (low potassium) due to excessive aldosterone, so potassium-rich foods should not be limited.

B. Decrease sodium intake: Sodium restriction is necessary because hypernatremia and fluid retention are common in Cushing's disease due to increased cortisol levels.

C. Increase calorie intake: Clients with Cushing's disease often experience weight gain and should aim to maintain a balanced calorie intake.

D. Consume more calories from carbohydrates than protein: Clients with Cushing's disease should prioritize protein to counteract muscle wasting and avoid excessive carbohydrate intake, which can worsen hyperglycemia.

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